Autumn is here and colorful leaves are falling. When trying to rake leaves in the wind, people may have a terrific rake and a smooth lawn, but the leaves will travel with the wind. So it is with personal health record (PHR) adoption by the general population. Recent stimulus dollars have energized PHRs as a way to deliver patient data from an electronic medical record (EMR), ultimately giving consumers control of their own medical information, but building a PHR that patients will fully use is often like trying to create a tidy pile of leaves in a windstorm. KLAS interviewed 120 acute care organizations, representing over 750 hospitals, about their PHR intentions. Close to 90 percent have PHRs on their minds and are starting pilots or actively formulating a plan, while just over 10 percent have no plans and are not investing time or energy on PHRs.